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C Rumeau-Rouquette

Publications and source records attributed to C Rumeau-Rouquette.

71 records · Page 4Linked to original sources
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[Statistical study of the relationships between the etiology and clinical picture of cerebral palsy].

846 children with cerebral palsy were examined and 642 were selected for a statistical study by correspondence analysis. The aim was to identify without any prior assumptions, the relationships between the aetiological factors and the clinical findings. The study was completed by conventional statistical analysis of 584 of the cases. Small birth weight and a history of abnormal pregnancies was associated with a cerebral palsy affecting both legs, and often with a squint. Resuscitation was associated with athetosis and abnormalities of posture and behaviour. If the resuscitation lasted for more than 15 minutes or there were certain problems during delivery, severe abnormalities of both arms and major speech difficulties were observed. Resuscitation for less than 15 minutes or for an unknown time or intractable vomiting during pregnancy was associated with quadraplegia. Hemiplegia was related to post natal events but the aetiology was not always known. Foeto-maternal incompatibility was associated with athetosis, deafness, severe speech problems and ophthalmoplegias.

Abortion, Threatened↗
PubMedDate not supplied

[The concept of risk in perinatology. Results of epidemiologic surveys (author's transl)].

A national survey of pregnancy and childbirth was conducted in 1972 in France from which for the first time risk factors for all pregnancies and practical consequences for prevention were obtained. Risk factors were determined by multivariate analysis for stillbirth, prematury, and low birth weight infants. Two groups of women were found to be at higher than average risk. The first included those under 18 or over 40 years old, or having a history of previous stillbirth or infant with birth weight less than 2 500 g. The 13% of all pregnant women in this group had double the overall population rate of stillbirth, prematurity and low birth weight infants. The second group, 7% of all pregnant women, included widowed, divorced, and separated women, as well as immigrant workers or wives of immigrant workers. These two groups of women, as well as those with pathological findings during pregnancy should be more closely followed during pregnancy as specified by law. However, the survey showed that the surveillance of high risk pregnancies is on the whole inferior to that of the overall population. Several solutions have been proposed to remedy this situation: -- to double the number of obligatory prenatal examinations, to 10 per woman, for all pregnancies, which would double the present total number of prenatal examinations from 4 000 000 to 8 000 000; -- to apply the legislation to women with high risk pregnancies by increasing either the inducements (educating these women and their doctors, more reembursements of costs), or constraints (requiring more medical appointments, home visits, or financial sanctions).

Adolescent↗
PubMedDate not supplied

[Prognosis of cancer of the corpus uteri].

A statistical study of 240 cases of cancer of the body of the uterus treated throughout at the Institute Gustave-Roussy has led us to the following conclusions. The number of patients who survive drops rapidly after the first year of follow-up and this phenomenon is particularly marked in women who are more than 60 years of age. Mortality linked to other causes of death does not account for the total falling off in the number of those who survice among the older patients. A study of the clinical spread of the disease shows that most cancers stay confined to the body of the uterus and this really lessens the value of a classification based on spread of the disease for prognostic purposes. A systematic study of hysterograms taken before any treatment is started does on the other hand give us two prognostic pointers. The first is the size of the endometrial cavity and the second the maximum diameter of the tumour. These two radiological characteristics allow us to make an interesting division of cancers that are limited to the body of the uterus. The overall survival rate after 5 years is 61 per cent. When we take into account the dimensions of a tumour we can place patients into two groups; those with tumours that are less than 45 mm in diameter have a 71 per cent survival rate and those with tumours of greater than 45 mm diameter have a survival rate of 45 per cent.

Adult↗
PubMedDate not supplied

[A study of the comparative efficiency of ifenprodil and ritodrine in the treatment of threatened premature labour (author's transl)].

The study compares a sequential test of a beta mimetic drug (ritodrine) and an alpha inhibitor (ifenoprodil) to show that the beta mimetic drug is superior in treating threatened premature labour, because it has a success rate of 90 per cent whereas the second has a success rate of 45 per cent. Ritodrine produces secondary effects in 69 per cent of cases.

Adrenergic alpha-Antagonists↗
PubMedDate not supplied

[Mortality of children aged 1 to 4 years in the countries of the European Community].

Mortality rates of children aged 1 to 4 years in each country of the European Community were reviewed. Data was drawn from statistics published by the individual countries. Overall, mortality rates were 61 per 100,000 in boys and 51 per 100,000 in girls and are highest in the Republic of Ireland, the FRG and Belgium. Between 1960 and 1980, mortality decreased in all countries and for both sexes; improvement was greatest in the countries where mortality rates were the highest in 1960. Accidents of different types were the main causes of death in each country. Some were related to age group specific behaviour, such as drownings and falls in young children and suffocations in infants. However, most deaths were due to traffic accidents.

Accidents↗
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[Prolonged pregnancy and perinatal distress].

212 out of 2806 women who delivered in the Haguenau Maternity had a period of amenorrhoea markedly longer than 42 weeks, when the menstrual cycle was 28 +/- 8 days. 39 of the 212 pregnancies, which means 18 per cent of the infants, showed signs of postmaturity and in these there was an excess of fetal distress. Those children who were born after pregnancies which were theoretically "prolonged" but did not show signs of postmaturity did not suffer neonatal distress any more than those children born at term. Having scans of uterine growth makes one come to the conclusion that these are not really prolonged pregnancies.

Female↗
PubMedDate not supplied

[Contraception before pregnancy. Evolution between 1972 and 1975 in the Rhone-Alpes region (author's transl)].

The studies was made from two enquiries carried out on women who delivered in June 1972 and 1975 in the Rhone-Alpes region. Contraception therefore dealt exclusively with birth control before a pregnancy. It is clear that contraception has developed significantly: it is practised by 48% of women who were questioned in 1975 as compared with 41% in 1972. There is also a change in the last method used between the two dates: the pill featured in only 17% of all the method used in 1972 and 45% in 1975: on the other hand coitus interruptus went down from 41% to 21%. The spread of the use of the pill is a generalised phenomenon whereas there are several categories of women who do not seem to have used, coitus interruptus less frequently. As far as the social classes are concerned, it is to be pointed out that only non-skilled working-class people have not changed their habits as far as these two methods are concerned. Contraception is practised with more and more success as a method of birth control: on the one hand the number of conceptions which occurred when the women was using a birth control method has gone down from 27% in 1972 to 15% in 1975: on the other hand 51% of those who used a birth control method stopped using it in order to have a baby, whereas in 1972 only 32% did so. Parallel with this evolution, one can point out that the number of women who have 2 or more children has gone down. On the other hand the number of conceptions before marriage and the rhythm of the way the families are constituted has not changed between the two dates.

Adolescent↗
PubMedDate not supplied

[The evolution of perinatal pathology and its prevention in France. The national enquiries by INSERM in 1972-1976 (author's transl)].

Two national enquiries were carried out in France by INSERM in 1972 and in 1975-76 in order to review the efficiency of using medical discoveries and health programmes. The first was carried out on a representative sample of 11,254 deliveries and the second on a representative sample of 4,685 deliveries. The perinatal mortality rate and the prematurity rate have gone down quite definitely, while on the other hand the birth weight has stayed more or less identically the same and the number of small-for-dates babies has not become less and in fact there is a slight tendency for a rise in the number. Antenatal care has improved considerably for most women, without the idea of high risk factors having really become integrated. The number of maternity units with fewer than 15 beds has considerably dropped, especially in the private sector. Monitoring of labour and of the newborn has shown a certain progress. These changes exist in a family context which is evolving with more planned pregnancies and a slight improvement in the social and cultural conditions of parents.

Birth Weight↗
PubMedDate not supplied

[Study of weight deficiency in a representative sample of newborns].

A study of a representative sample of 11,330 newborns allowed to establish the distribution of birth weights in terms of gestation-age. The comparison with Lubchenco's curves shows important differences since the 10th percentile of the American curve is below the 3rd percentile of the French sample for prematures. The use of a technique of multivariant analysis distinguishes groups with low and high risks of prematurity and hypotrophy. The distinction is more obvious for the first group than for the second. The study of the rate of early neonatal mortality in terms of weight and gestation-age, led to individualize the risk related to hypotrophy from that related to prematurity.

Analysis of Variance↗
PubMedDate not supplied

[Alcohol consumption among pregnant women and outcome of pregnancy (author's transl)].

A prospective survey of more than 9,000 pregnant women showed that those who consumed more than 0.4 l of wine or equivalent in other alcoholic beverages per day during pregnancy had a higher risk of unfavourable outcome. The risk of stillbirth was higher, particularly that due to abruptio placentae. The average birthweight was lower and the risk of giving birth to a small-for-date infant was higher. Furthermore the men placental weight was lower. Women with moderate or high alcohol consumption also differed from those with low alcohol consumption in some classical risk factors for the outcome of pregnancy, but the increased risk with consumption of alcohol remained significant when these other factors were taken into account. The increased risk among women with moderate or high alcohol consumption appeared to be limited to beer drinkers, although the mean quantity of alcohol consumed by beer drinkers was smaller than that consumed by wine drinkers.

Abruptio Placentae↗